Maxicare Health Plans
Industry: Company
DescriptionFounded: 1973 Subsidiary: Maxicare Indiana Inc.
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Maxicare Health Plans Employees
ESI Healthcare Business Solutions January 2015 - Present
Towers Watson June 2011 - January 2015
ESI Healthcare Business Solutions July 2009 - June 2011
Hogan & Hartson March 2007 - July 2009
Eligibility Services, Inc. (ESI) May 1999 - December 2006
Affinity Health Plan August 2003 - August 2005
Centra Benefits February 1997 - May 1999
HealthStar PPO February 1996 - February 1997
American Medical Security April 1994 - April 1996
Maxicare Health Plans 1990 - 1994
Skills
Contract Negotiation, Contract Management, Mergers & Acquisitions, Fair Market Value, Claims Management, Provider Relations, Provider Network..., Healthcare Reimbursement, Medicare/Medicaid..., Medicare Advantage, Accountable Care, Employee Benefits, Managed Care, Leadership, New Business Development, Physicians, Business Strategy, Management, Strategy, Medicare, Healthcare, Healthcare Industry, Hospitals, Project Management, Healthcare Management, Strategic Planning, HIPAA, Insurance, Compliance, Corporate Law, Compensation & Benefit, Medicaid, Healthcare Consulting, Medical Billing, Legal Research, Data Analysis, Process Improvement, Training, Health Insurance, Leadership Development, Healthcare Information...
Education
New York Law School 2003 — 2006
JD
Butler University - College of Business Administration 1994 — 1997
MBA, Organizational Change
California State University-Long Beach 1986 — 1989
B.S., Finance
Tech High School
Take 10 Now January 2003 - Present
Entelekey, Inc June 2002 - Present
Barrett Values Centre March 2015 - Present
David Couper Consulting May 2013 - May 2015
Maxicare Health Plans September 1984 - March 1989
Maxicare 1984 - 1987
Skills
Executive Coaching, Leadership, Coaching, Public Speaking, Management, Personal Development, Program Management, Entrepreneurship, Change Management, Leadership Development, Training, Marketing, Culture Change, Teaching, Strategic Planning, Project Management, Social Media, Team Building, Networking, Time Management, Event Planning, CTT Certified..., Consulting
Education
Barretts Values Centre 2015 — 2015
Cultural Transformation Tools Level 2 Certification
University of Santa Monica 2013 — 2013
soul centered professional coaching certification, Professional coaching
Robert kegan: Harvard school of education 2002 — 2002
Certificate of completion, Workforce Development and Training
University of Santa Monica 2000 — 2002
MA, Spiritual Psychology
Yale University School of Medicine 1982 — 1984
Master of Public Health (MPH), Health/Health Care Administration/Management
Tufts University 1974 — 1978
BA, community health
Hendrick Hudson High School 1970 — 1973
Birch Wathen Lenox 1967 — 1973
high school
Blue Shield of California April 2013 - Present
Blue Shield of California 1995 - March 2013
CareAmerica 1995 - 1998
MetLife 1989 - 1995
Maxicare Health Plans 1984 - 1989
Skills
Health Insurance, Insurance, Brokers, Medicare, Claim, Underwriting, Managed Care, Claims Management, Property & Casualty..., Disability Insurance, Employee Benefits, Actuarial Science, Term Life Insurance, Health Savings Accounts, Workers Compensation, Life Insurance, Long-term Care
Education
El Camino College 1981 — 1984
Business Education
Peary
Anderson, McCoy & Orta February 2014 - Present
Mayer Brown June 2012 - January 2014
Kaye Scholer LLP September 2008 - June 2012
Bank of America July 2004 - August 2008
Special Counsel November 2002 - June 2004
Near North Insurance Brokerage 1998 - 2002
Maxicare Health Plans 1997 - 1998
Skills
Structured Finance, Finance, Leadership, Mentoring, Team Building, Training, Collaborative Problem..., Sales, Business Development, Strategic Planning, Trust Services, Trustee, Real Estate Financing, Restructuring, Financial Services, Securitization, Mergers & Acquisitions, Legal Writing, Real Estate
Education
Loyola University Chicago School of Law 2007 — 2009
LLM, Business Law and Corporate Governance
Loyola University Chicago School of Law 1998 — 2002
JD, concentration in Health Law
Loyola University Chicago 1993 — 1997
BS
Amos Alonzo Stagg
Forever 21 October 2014 - Present
Johnson & Johnson c/o Biosense Webster Int’l. December 2013 - September 2014
L A County - Dept of Public Health November 2011 - November 2013
The Walt Disney Company November 2007 - August 2011
Ingram Micro May 2006 - November 2007
Boeing December 2004 - April 2006
AIU and PWU February 2002 - November 2004
NASA/JPL July 1996 - January 2002
Maxicare Health Plans February 1994 - June 1996
Transamerica Financial Services November 1991 - February 1994
Skills
Leadership, Management, Integration, Change Management, Disaster Recovery, SDLC, Training, IT Strategy, Entrepreneurship, SharePoint, Start-ups, CRM, PMO, Vendor Management, E-commerce, Team Leadership, Team Building, Business Analysis, General Business, Strategic Enterprise..., Healthcare Information..., Technology Integration, Technology Management, Project Management, Program Management, PMO Development, Software Engineering, ERP Implementations, Executive Management, Executive Reporting, Systems Engineering, Aerospace Engineering, Corporate Governance, Government Contracting, Information Technology
Education
Pacific Western University 1986 — 1988
Ph.D., Computer Science & Information Systems, 4.0
University of Santa Barbara, California 1993 — 1996
Ph.D., Business Administration & Management, Specialty: Technology Management, 4.0
Pacific States University 2010 — 2012
DBA (Honorary Degree), International Business, N/A
Nova Southeastern University 1996 — 2001
ABD, Educational/Instructional Technology, 3.8
California American University 2005 — 2008
Doctor of Philosophy (Ph.D.), International Economics
Western Governors’ University 2007 — 2009
M.S., Mathematics, 4.0
Azusa Pacific University 2005 — 2006
M.A., Organizational Leadership, 3.9
University of La Verne 1990 — 1992
M.B.A., Business/Managerial Economics, 3.7
West Coast University 1985 — 1986
Master of Management Information Systems, Management Information Systems, General, 3.9
West Coast University 1984 — 1985
Master of Science (MS), Computer Science, 3.6
Global Village Healthcare August 1996 - Present
Coventry Health Care January 2009 - October 2009
APS Healthcare January 1998 - January 2008
ValueOptions 1993 - 1997
Prudential Healthcare 1990 - 1993
Sentara Health Plan April 1985 - July 1990
Maxicare Health Plans 1985 - 1990
Blue Cross and Blue Shield of Virginia December 1983 - April 1985
Skills
Budgets, Pricing, Human Resource..., Medicaid, Managed Care, Healthcare, Medicare, Healthcare Management, Health Insurance, Healthcare Information..., Disease Management, Health Policy, Healthcare Consulting, Strategic Planning, Process Improvement, Program Management, HIPAA, Public Health, Leadership, Quality Improvement, HMO, Utilization Management, Hospitals, Team Building, EHR, Mental Health, Change Management, Behavioral Health, Informatics, Clinical Research, Physicians, Home Care, Pharmacy Benefit..., Credentialing, Case Managment, EMR, Healthcare Industry, Accreditation, Revenue Cycle, Provider Relations, Medicare Part D, Long-term Care, Physician Relations, Network Development, Case Management, Health Education, Nursing, Patient Safety, Executive Management, Medicine
Education
Old Dominion University 1973 — 1981
BA, Philosophy, Psychology, Martial Arts
KCP Realty Group LLC October 2014 - Present
DIRECTV October 2013 - April 2014
Time Warner Cable March 2012 - September 2013
Time Warner Cable March 2007 - March 2012
Time Warner Cable April 2005 - March 2007
Time Warner Cable July 1996 - April 2005
Time Warner Cable 1991 - July 1996
Time Warner Cable 1989 - 1991
Time Warner Cable October 1988 - 1989
Maxicare Health Plans March 1987 - October 1988
Skills
Forecasting, Budgets, Finance, Strategy, Management, GAAP, Financial Analysis, Sarbanes-Oxley Act, Financial Reporting, Variance Analysis, Accounting, PeopleSoft, Hyperion Enterprise, Financial Modeling, Essbase, Managerial Finance, Internal Controls, Internal Audit, Auditing, Process Improvement, Mergers & Acquisitions, Capital Budgeting, Cost Accounting, Project Planning, Analytics, Financial Forecasting, Leadership, Analysis, Journal Entries, Account Reconciliation, General Ledger, Sarbanes-Oxley, Strategic Financial..., Financial Accounting, US GAAP, CPA, Access, P&L, Financial Statements, Accounts Receivable, Payroll, Corporate Finance, Accounts Payable, Accruals, Executive Management, Invoicing, Business Process..., Microsoft Excel, Cross-functional Team..., P&L Management
Education
University of Louisville 1978 — 1983
Bachelor of Science (BS), Accounting and Finance
Express Scripts September 2015 - Present
Palladian Health, LLC July 2011 - September 2015
Landmark Healthcare April 2005 - July 2011
Advanced Consulting & Technical Services July 1997 - April 2005
CIGNA Healthcare June 1995 - July 1997
Maxicare Health Plans February 1992 - June 1995
FHP International (UnitedHealth) August 1988 - February 1992
PHP of Ohio (UnitedHealth) October 1986 - July 1988
Blue Cross & Blue Shield Mutual of Ohio June 1981 - 1986
Skills
Managed Care, Management, Provider Relations, Healthcare, Start-ups, Health Insurance, Medicare, Organizational..., Product Development, Budgets, Account Management, Insurance, Marketing, Training, Strategic Planning, Product Marketing, Healthcare Information..., Leadership, Integrated Marketing, HMO, Executive Management, Team Building, Sales
Education
Baldwin Wallace University 1982 — 1984
MBA, Operations Management
John Carroll University 1978 — 1981
BA, Political Science
Brookside High School 1972 — 1975
High School Diploma
Aetna January 2010 - Present
Aetna January 2002 - December 2009
Aetna 1995 - 2002
Aetna 1991 - 1995
Partners National Health Plans 1989 - 1991
Maxicare Health Plans 1986 - 1989
Skills
Network Development, Health Insurance, Managed Care, Medicare, Medicaid, Healthcare, Provider Relations, HIPAA, Insurance, Health Policy, Physicians, Hospitals, Contract Negotiation, Healthcare Industry, Healthcare Management, Employee Benefits
Education
University of California, Los Angeles 1973 — 1977
Bachelor of Arts (B.A.), Sociology and Anthropology
Columbia University Graduate School of Journalism 2015 - Present
Columbia University Graduate School of Journalism 2009 - 2014
Research Foundation of CUNY 2008 - 2009
Columbia University 2005 - 2008
SRO Housing Corporation 2000 - 2005
Maxicare Health Plans 1999 - 2000
Skills
Grant Writing, Editing, Event Planning, Community Outreach, Non-profits, Public Speaking, Nonprofits, Blogging, Copy Editing, Fundraising, Grants, Program Development, Creative Writing, Research, Volunteer Management, Higher Education
Education
Columbia University - Graduate School of Journalism 2010 — 2013
MS, Newspaper
Columbia University in the City of New York 2005 — 2008
MA, Liberal Studies - Islamic Studies
Morningside College 1997 — 1999
BA, Theatre
TransUnion Healthcare 2010 - Present
FedEx Express August 2008 - September 2011
Diversified Data Design Corp. 2005 - 2010
American Youth Soccer Organization 2003 - 2005
The TriZetto Group 2000 - 2002
Maxicare Health Plans 1987 - 2000
US Navy September 1978 - September 1982
Skills
Quality Assurance, Business Analysis, Process Improvement, Project Management, Software Project..., EDI, Databases, Logistics, SDLC, Vendor Management, Visio, Access, Analysis, Data Analysis, SharePoint, Software Documentation, Leadership, MS Project, Integration, Team Leadership, Troubleshooting, Windows, Call Centers, Training, Program Management, Six Sigma, CRM, Cross-functional Team..., Software Quality..., HMO, MS Excel, Microsoft Word, Manual Testing, Data Quality Assurance, Data Processing, MS Office, IT Operations, Shipping, Freight Forwarding, Martial Arts, Microsoft Excel
Education
University of California, Los Angeles
Bachelor of Arts (B.A.), Political Science
El Camino College
Associate of Arts (A.A.), General Studies
Marsh Risk and Insurance Services May 2000 - Present
PriceWaterhouse Coopers 1999 - 2000
Private Healthcare Systems 1995 - 1999
BPS Healthcare 1993 - 1995
Maxicare Health Plans 1991 - 1993
Skills
Risk Management, Freight, Product Liability, D&O, Insurance
Education
Northeastern University 1982 — 1987
Bachelor of Science, Economics
Brookline High School 1978 — 1982
Kaiser Permanente May 2008 - Present
Providence Health & Services January 2006 - May 2008
Little Company of Mary Health Services September 1999 - December 2005
Blue Shield of California October 1997 - November 1999
Careamerica 1996 - 1998
CIGNA 1996 - 1997
Maxicare Health Plans August 1988 - June 1995
Skills
Network Development, Managed Care, Medicare, HIPAA, Provider Relations, Insurance, Medicaid, Hospitals, Healthcare Management, Healthcare Information..., Healthcare Consulting, Healthcare, Credentialing, Revenue Cycle, Physician Relations, EMR, Healthcare Industry, HMO, Physicians, Medical Compliance
Education
Pepperdine University 1983 — 1988
Amgen June 2015 - Present
Amgen October 2013 - June 2015
Amgen November 2012 - October 2013
Amgen October 2006 - November 2012
United Healthcare 2003 - 2006
Health Net November 2001 - October 2003
ARTISTdirect July 2000 - October 2001
Health Net January 1994 - June 2000
Maxicare Health Plans 1988 - 1993
Skills
Data Warehousing, Business Intelligence, Management, SDLC, Cross-functional Team..., Business Analysis, Vendor Management, Information Management, IT Strategy, Business Process, Software Development, Project Portfolio..., Business Process..., Requirements Analysis, Analytics
Education
University of California, Davis 1986 — 1988
M.A., English
University of California, Santa Cruz 1981 — 1985
B.A., English & German Literature
Boston Scientific June 2012 - Present
Dendreon January 2011 - December 2011
Xcenda May 2010 - January 2011
Xcenda March 2008 - April 2010
Covance March 2001 - November 2007
MaxiCare Health Plans February 1999 - March 2001
Lifemark Corporation June 1997 - February 1999
Education
Indiana University Bloomington
BA
Amerigroup Corporation July 2009 - December 2010
Arthur Andersen March 1998 - June 1999
Maxicare Health Plans March 1995 - December 1997
Skills
Managed Care, HIPAA, Hospitals, Health, Compliance, Medicaid, Provider Contracting, Medicare, Healthcare Industry, Healthcare Management
Education
California State University-Long Beach 1993 — 1994
Master of Science
California State Polytechnic University-Pomona 1990 — 1993
Bachelor of Science
Health Net June 2002 - Present
Maxicare Health Plans November 2000 - October 2001
WellPoint January 1997 - October 2000
Cable Television Regulatory Consultant to Municipal Governments August 1994 - December 1996
Communications Support Group, Inc. October 1993 - July 1995
American Broadcast Company - KGO TV June 1991 - August 1993
Skills
Personnel & Project..., Financial Forecasting &..., Written & oral..., Contract Negotiation, Administration, Compliance, Managed Care, Health Insurance, Performance Measurement, Performance Metrics, Financial Forecasting, Project Management, System Administration, Medicare, HIPAA, Insurance, Management, Team Building, Claim, Disease Management, Health Savings Accounts, Vendor Management, HMO, Analysis, Healthcare Industry, Healthcare, Leadership, Network Development, Strategic Planning, Medicare Part D, Utilization Management, Process Improvement, Employee Benefits, Medicaid, Provider Relations, PPO, Disability Insurance, Pharmacy Benefit...
Education
University of Southern California 1993 — 1995
MA, Communications Management
San Francisco State University 1989 — 1992
BA, Radio-Television
San Diego State University-California State University 1988 — 1989
Telecommunications & Film
BHS
Kaiser Permanente March 1996 - Present
Baxter Healthcare, Orthopedic Services Division 1989 - 1996
Maxicare Health Plans 1986 - 1988
Maxicare Health Plans 1983 - 1986
Skills
Team Leadership, Employee Development, Business Development, Healthcare, Health Insurance, Healthcare Management, Employee Benefits, Strategic Planning, Healthcare Industry, Account Management, Salesforce.com, Team Building, Insurance, Cross-functional Team..., Leadership, Managed Care, Strategic Partnerships, Program Management, Management, Health Education
Education
The University of Chicago - Booth School of Business 1990 — 1993
MBA
Hope College, Holland, MI 1978 — 1982
BS, Psychology
The BACH Group 1995 - Present
Everychild Foundation 2002 - 2014
Venice Family Clinic 2002 - 2014
WATTS Health Systems 1998 - 2001
Westside Women's Health Center 1993 - 1998
MedPartners 1996 - 1997
Tenet Integrated Physician Services 1995 - 1996
Premier Ambulatory Systems 1993 - 1995
Tenet (National Medical Enterprises) 1988 - 1993
Maxicare Health Plans 1985 - 1988
Skills
Fundraising, Non-profits, Strategic Planning, Board Governance, Volunteer Management, Grant Writing, Program Development, Community Development, Grants, Annual Giving, Community Outreach, Public Speaking, Event Planning, Public Policy
Education
Harvard University
Sidwell Friends School
Cedars-Sinai Medical Center October 1998 - Present
Cedars-Sinai Medical Center March 1991 - October 1998
Maxicare Health Plans Inc. September 1985 - March 1989
Maxicare Health Plans August 1984 - September 1985
Skills
Training, Community Outreach, Program Management, Customer Service, Workforce Planning, New Hire Orientations, Onboarding, Employee Relations, Human Resources, Leadership Development, Fundraising, Management, Performance Appraisal, Epic Systems, Coaching, Recruiting, HIPAA, Talent Acquisition, Adult Education, Organizational..., Succession Planning, Healthcare, Kronos, Talent Management, Program Development, Interviews, Healthcare Management, Employee Engagement, Performance Management, Workshop Facilitation, HR Policies
Education
Loyola Marymount University 1990 — 1992
Certificate, Human Resources Management/Personnel Administration, General
California State University-Los Angeles
Bachelor degree, Education
Fairfax High School
Kaiser Permanente IT August 2013 - April 2014
Aptium Oncology April 2005 - December 2012
Ridgeley Vista Chateau HOA October 2007 - November 2012
Health Net 2003 - 2005
Health Net 1999 - 2003
Health Net 1996 - 1999
Maxicare Health Plans 1989 - 1996
Volt Delta Resources 1986 - 1988
Skills
Healthcare, Databases, Managed Care, Business Analysis, SQL, Excel, Crystal Reports, Change Management, Data Analysis, Quality Assurance, PowerPoint, Access, Microsoft Office, SQL Server, Requirements Analysis, Word, Customer Relations, Documentation, Analysis, Data Warehousing, Business Intelligence, Team Leadership, Project Planning, Software Development, Decision Support, Software Documentation, Microsoft Excel, IT Management, Visio, Visual Basic, Process Improvement, EHR, Healthcare Information..., Database Administration, HIPAA
Education
University of California, San Diego 1979 — 1984
BS, Applied Mechanics
Los Alamos
Aequitas Associates May 2012 - Present
TSM Sports Management 1990 - 1998
Kaiser Permanente 1988 - 1994
Maxicare Health Plans 1984 - 1988
Skills
Public Speaking, Mediation, Teaching, Executive Coaching, Coaching, Management Consulting, Negotiation, Team Building, Conflict Resolution, Leadership, Business Strategy, Succession Planning, Change Management, Leadership Development, Recruiting, Organizational..., Event Management, Executive Development, Entrepreneurship, Management, Strategy
Education
Southwestern University School of Law 1980 — 1984
Doctor of Law (J.D.), Law
UCLA 1978 — 1980
Master of Public Health (M.P.H.), Behavioral Science/ Health Education
North Park University 1971 — 1974
B.A., Psychology
Action Design Institute
Professional Development, Organizational Learning
Ruff July 2000 - Present
Private Healthcare Systems February 1998 - August 2000
Regence Blue Sheild August 1994 - February 1998
Aetna Health Plans, Inc. August 1991 - July 1994
Longbeach Memorial Independent Provider Association, Inc. March 1989 - July 1991
CareAmerica Health Plans January 1986 - February 1989
Maxicare Health Plans July 1984 - December 1986
Maxicare Health Plans, Inc. February 1983 - July 1984
Maxicare Health Plans, Inc. January 1983 - February 1983
Skills
Contract Negotiation, Hospitals, Administration, Budgeting, Strategic Planning, Research, Coaching, Health, Team Building, Negotiation, Public Speaking, Product Launch, Customer Service, Policy, Planning, Non-profits, Healthcare, Proposal Writing, Process Improvement, Public Relations, Change Management, Teaching, Organizational..., Problem Solving, Data Analysis, Product Development, Leadership Development, Program Management, Budgets, Operations Management, Cross-functional Team..., Management, Managed Care, Medicare, Leadership, Healthcare Information...
Education
California State University-Chico 1977 — 1981
BA, Health Care, Ecology
University of Florence, Italy 1978 — 1978
Michelangelo and Renaissance Art m- credit
Hewlett-Packard August 2011 - Present
Universal American December 2009 - August 2011
WellCare Health Plans, Inc. May 2006 - September 2009
WellCare Health Plans, Inc January 2006 - May 2006
UnitedHealth Group May 2004 - April 2005
Human Services, Inc. October 2001 - May 2004
Maxicare Health Plans January 1998 - September 2001
MCS, Inc (now Americhoice) August 1994 - December 1997
MCS, Inc (now Americhoice) January 1996 - January 1997
MCS, Inc January 1994 - January 1996
Education
Franklin College 1989 — 1993
Bachelors of Science, Sociology
UnitedHealthcare 2002 - 2014
Maxicare Health Plans 1992 - 2001
Blue Cross of California 1987 - 1992
Skills
Sales, Managed Care, Management, Brokers, Health Savings Accounts, Insurance, Life Insurance, Underwriting, Employee Benefits, Medicare, Account Management, Health Insurance, Disability Insurance, Sales Management, Workers Compensation, Healthcare, Benefits Administration
Education
California State University-Northridge
Business Administration
Otsuka America Pharmaceutical, Inc. May 2010 - Present
WYETH PHARMACEUTICALS, Greater January 1990 - January 2009
MAXICARE HEALTH PLANS January 1986 - January 1990
Skills
Cardiology, Internal Medicine, Selling, Pharmaceutical Sales, Negotiation, Oncology, Marketing, Hospitals, Sales, Sales Operations, Product Launch, Healthcare, Strategy, Managed Care, Pharmaceutical Industry
Education
Troy University
BS, Computer Science
City of Los Angeles January 2008 - Present
Transamerica Assurance Co. Transamerica Worksite Marketing 1997 - 2001
Maxicare Health Plans 1986 - 1996
Skills
Social Media, Training, Project Management, Public Speaking, Editing, Team Building, Healthcare, Nonprofits, Microsoft Office, Analysis, Event Planning, Non-profit..., Group Fitness..., Process Improvement, Community Outreach, Strategy, Program Management, Human Resources, Leadership Development, Performance Management, Event Management, Contract Negotiation, Policy, Negotiation, Social Media Marketing, Leadership, Project Planning, Advertising, New Business Development, Government, Fundraising, Online Marketing, Retail, Organizational..., Business Process..., Community Development, Legislative Relations, Public Policy, Public Relations
Education
National University 2015 — 2016
MPA
University of Phoenix 2001 — 2003
MAOM
CSU Dominguez Hills 1981 — 1983
BS, Psychology, Sociology
City of Redondo Beach 2000 - Present
Maxicare Health Plans January 1995 - August 2000
Carmichael International Service January 1986 - January 1995
Skills
Police Specialist, Financial Accounting, Importing and Exporting...
Education
El Camino College 1986 — 1987
General ed, Seeking Nursing Degree
Hawthorne High School 1982 — 1986
Diploma
Laguna Liquid Juice Beverages 2013 - Present
Flexible Manufacturing 2008 - 2013
BP 2003 - 2008
BP 2002 - 2003
Maxicare Health Plans 1995 - 2002
Skills
Marketing, Marketing Strategy, New Business Development, Product Development, Leadership, Retail, Sales, Contract Negotiation, Project Management, P&L Management, Business Planning, Brand Development, Ideation, Pricing, Management
Education
University of Southern California 1991 — 1995